| Sunshine Dream Cla | |
|
4841 Lenora Church Rd Snellville GA 30039-7707 | |
| (404) 510-3888 | |
| (678) 344-4261 |
| Full Name | Sunshine Dream Cla |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4841 Lenora Church Rd, Snellville, Georgia |
| Authorized Official Name and Position | Brenda A Smith (CEO/DIRECTOR) |
| Authorized Official Contact | 4045103888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Dream Cla 4841 Lenora Church Rd Snellville GA 30039-7707 Ph: (404) 510-3888 | Sunshine Dream Cla 4841 Lenora Church Rd Snellville GA 30039-7707 Ph: (404) 510-3888 |
| NPI Number | 1427304633 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427304633 | NPI | - | NPPES |
| 003124871A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CLA000930 (Georgia) | Primary |
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